Doctor Name: | SARA LAUGHLIN-MEDINA |
NPI Number: | 1295043776 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC-SLP |
License Number: | 2287 |
Business Practice Address: | 2905 Missouri Ave Las Cruces, NM - 880114813 |
Business Phone Number: | 5755220404 |
Business Fax Number: | |
Mailing Address: | 1105 Wofford Dr, LAS CRUCES |
State: | NM |
Postal Code: | 880015415 |
Phone Number: | 5756444579 |
Fax Number: | |
NPI Enumeration Date: | 09/18/2010 |
NPI Last Update Date: | 09/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2287 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |